FORM 5.7 Application for employment / Career Expression Of Interest

Application for Employment / Expressions of Interest Form

This form is to express your interest in a role with Neo Infrastructure (SA) Pty Ltd. This form is in alignment with IMS Form 5.7
Name*

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Date of Birth

DayMonthYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you hold a current Australian Driver's Licence?*

Yes, CYes, HRYes, HCYes, MCNoOther
Do you hold a Construction Industry White Card?*

YesNo
What role are you expressing your interest for?*

Junior LabourerSkilled LabourerAll-RounderPlant OperatorPipelayerFinal Trim/ Grader OperatorTraineeshipLeading HandTruck DriverSite SupervisorGraduate opportunitiesProject ManagerHeavy Diesel MechanicOther
Please select any of the below tickets, licences or can demonstrate competent experience with the following:

Workzone Traffic ManagementSA Water AccreditationHR LicenceWork as a Safety Observer/SpotterHC LicenceFront Loader Ticket or VOCMC LicenceExcavator Ticket or VOCSkid Steer (Bobcat) Ticket or VOCBackhoe / Loader Ticket or VOCRoller Ticket or VOCWatercart Ticket or VOCGrader Ticket or VOCScraper Ticket or VOCMoxy/ Haul TruckDozer Ticket or VOCDogging or VOCBasic Rigging High RiskEnter and Work in Confined SpacesI don't have any of the aboveTraffic Management (TC1, TMI1)Traffic Management (TC2, TMI2)Other
OPTIONAL Please upload copies of tickets or licences below:

Cancelof
Do you have your own transport to travel to and from work?*

YesNo
As part of Neo's recruitment process, candidates may be required to attend a pre-employment medical, including a drug and alcohol test. Do you understand this requirement?*

YesNo
Some weekend work may be required from time to time to meet the needs of some projects. If successful you may be required to work across the different Neo project sites as reasonably instructed by Neo. Do you understand this requirement?*

YesNo
Do you have full rights to work in Australia?*

YesNoOther
You may be required to provide evidence of citizenship or permanent residence status.
** If you don’t have full rights to work in Australia but are on a visa with work rights, you may be required to provide further information including copy of Working Visa, IMMIcard or Passport.
Note ** Please do not send this through, if successful, Neo will request this from you.
Is there anything that may stop you from undertaking the full requirements of the role that you are expressing your interest for, including hours or work including physical capacity, medical or psychological?*

YesNo
Please provide details:
Do you currently have an open worker’s compensation claim, for which we may need to consider reasonable adjustments for?

YesNo
Please provide details:
Have you previously been employed by Neo or worked at Neo as a subcontractor or labour hire?

YesNo
Please provide details:
Do you know anyone that works, or has worked, at Neo Infrastructure? If so, please let us know who:
Current or most recent employment
1.) Company or Employer Name:*
Dates Employed From:

DayMonthYear
Date
Dates Employed To:

DayMonthYear
Date
Duties you are or were directly responsible for while during your time with this employer/ company: *
2.) Company or Employer Name (optional):
Dates Employed From:

DayMonthYear
Date
Dates Employed To:

DayMonthYear
Date
Duties you were directly responsible for while you were employed with them:
3.) Company or Employer Name (optional):
Dates Employed From:

DayMonthYear
Date
Dates Employed To:

DayMonthYear
Date
Duties you were directly responsible for while you were employed with them:
Please upload your resume (optional):

Cancelof
Please provide details of 2 references we can contact:
1.) Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
What was your working relationship to them?
2.) Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
What was your working relationship to them?
You can also reach us on (08) 8387 4299 or admin@neogroup.com.au.
Should be Empty:

Application for Employment / Expressions of Interest Form

Current or most recent employment

Please provide details of 2 references we can contact: